Telemedicine Technologies

2021 ◽  
pp. 12-23
Author(s):  
Dean L. Smith

This chapter provides an overview of telemedicine technologies, including hardware, software and peripheral devices, along with their use in emergency and other clinical settings. Telemedicine comes in many forms, reflecting the complex ways health care is delivered. The earliest examples of telemedicine were simply phone calls between clinicians. Now, telemedicine encompasses live videoconferences involving the full spectrum of stakeholders in the health care continuum, a wide array of diagnostic devices, as well as an ever increasing number of patient-driven modalities. Lessons learned from the implementation of telemedicine technologies and a checklist of factors for clinicians and health care administrators to consider prior to deploying telehealth solutions are included at the end of the chapter.

PM&R ◽  
2021 ◽  
Vol 13 (6) ◽  
pp. 554-562
Author(s):  
Jonathan H. Whiteson ◽  
Miguel Xavier Escalón ◽  
Susan Maltser ◽  
Monica Verduzco‐Gutierrez

Author(s):  
Diana Jiménez-Rodríguez ◽  
Azucena Santillán García ◽  
Jesús Montoro Robles ◽  
María del Mar Rodríguez Salvador ◽  
Francisco José Muñoz Ronda ◽  
...  

In response to the COVID-19 pandemic, health care modalities such as video consultations have been rapidly developed to provide safe health care and to minimize the risk of spread. The purpose of our study is to explore Spanish healthcare professionals’ perceptions about the implementation of video consultations. Based on the testimonies of 53 professionals, different categories emerged related to the four identified themes: benefits of video consultations (for professionals, patients, and the health system, and compared to phone calls), negative aspects (inherent to new technologies and the risk of a perceived distancing from the professional), difficulties associated with the implementation of video consultations (technological difficulties, lack of technical skills and refusal to use video consultation among professionals and patients), and the need for training (technological, nontechnical, and social-emotional skills, and adaptation of technical skills). Additionally, the interviewees indicated that this new modality of health care may be extended to a broader variety of patients and clinical settings. Therefore, since video consultations are becoming more widespread, it would be advisable for health policies and systems to support this modality of health care, promoting their implementation and guaranteeing their operability, equal access and quality.


PM&R ◽  
2021 ◽  
Vol 13 (6) ◽  
pp. 589-598
Author(s):  
Priya Chandan ◽  
Kristi L. Kirschner ◽  
Jessica Prokup ◽  
Cheri A. Blauwet

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 699-699
Author(s):  
Debra Dobbs ◽  
Sheryl Zimmerman

Abstract A wicked problem, by definition, has innumerable causes, is tough to describe, and doesn’t necessarily have a right answer. This describes today’s health care for older adults across the long-term care continuum. Our interdisciplinary group has almost as many years (n=70) of experience as GSA conducting research in community-based groups across the continuum of care from skilled nursing facilities, assisted living communities, adult day care, to independent living. In this symposium we will discuss lessons learned in recruitment, intervention delivery, and unexpected outcomes. Peterson will discuss lessons learned in using large data sets to derive actionable information on staff license mix and SNF complaints. Dobbs will discuss the utility of using hospice nurses to train ALC nurses in delivering palliative care. Lee will discuss lessons in engaging direct care workers in their need for sleep. Meng will discuss learning to embrace an unexpected finding that friendships developed in a dementia family caregiver music and mindfulness intervention were as meaningful as positive health outcomes. Buck will discuss lessons learned in recruiting a hidden group – informal caregivers with complicated grief. Finally, Zimmerman, as expert long-term services and support discussant, will pull the pieces together across the studies to facilitate discussion. Enrich your future research related to addressing wicked problems in health care for older adults by learning from our experiences.


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